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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Study aesign and analysis: Multilevel linear probability models used to test the association between primary care utilization and geographic accessibility of primary care providers (PCP) after controlling for demographic characteristics, medical conditions, rurality, and neighborhood-level racial and economic segregation.

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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Context: The impact of the COVID-19 pandemic on patients with acute kidney injury (AKI) in Academic Medical Centers (AMCs) remains unclear. Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Mixed models were used for analysis.

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Cervical Cancer Screening Differences Between Black and White Women: An Examination of HPV and Pap Test Utilization. [Screening, prevention, and health promotion]

Annals of Family Medicine

Context The introduction of the Human Papillomavirus (HPV) test and the 2012 Cervical Cancer Screening (CCS) guidelines expanded the way providers offer and interpret screening for their patients. Targeted public health communication is also necessary to inform patients about various CCS types. population.

Screening 130
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Virtual Visits in Prenatal Care: Benefits/Limitations, Uptake, and Patient Perceptions [Women's health]

Annals of Family Medicine

Context: Prenatal care can be difficult for patients to accomplish, with frequent visits and time-sensitive health screenings. Patient interviews, providing qualitative information to augment study findings. Semi-structured interviews of post-partum patients. Intervention/Instrument: Optional virtual prenatal visits.

Patients 130
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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. Study Design: Retrospective cohort study. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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The Impact of a Health Professions Education Program on Concussion Management: A Multi-Methods Study of ECHO Concussion [Neurologic illness]

Annals of Family Medicine

ECHO Concussion was launched in 2019 to teach clinicians a comprehensive approach to concussion diagnosis and management. Results From November 2019 to June 2024, 636 clinicians attended ECHO Concussion sessions. The qualitative descriptive approach was used to inductively code FGD transcripts. 11 (9%) participated in FGDs.

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Predicting Likelihood of Missed Appointments in Primary Care [Health care informatics]

Annals of Family Medicine

Despite efforts to improve patient-clinician relationships, access to care, and healthcare workflows, annual rates of missed appointments (MA) in the U.S Objective To evaluate the association between patient, health system, geosocial, and environmental factors on the likelihood of MA in Family Medicine clinics. for CA, 0.85